Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1983-06-20
- Stop
- 1983-06-20
The parties
- Patient
- patient Martín Ramón Chacón
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
0b2edf0d-f30f-28e2-1ee6-ab9cd0d1c0d0